FTG approved for focal spasticity in limbs, migraine, vaginismus, blepharospasm, hemifacial spasm, and anal fissure. All usage in accordance to trust agreed pathways and guidelines.

The cream and injection are Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

Coal tar in Lassar's paste, coal tar in Unguentum M are non-formulary

This oral form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only and for specialist use. 

Cardiology, Hypertension.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Only for patients who statisfy the requirement of the NICE TA.

This is commissioned by the ICB and a Blueteq form must be completed for Birmingham and Solihull ICB patients before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Its position in the Black Country ICB formulary is under review by the Joint Formulary Group and currently it is restricted to hospital patients only and there is no Blueteq form.

Dermatology, Endocrinology and Gynaecology

This is second line and curretnly restricted to hopistal use only pending an application to the JFG.

Clindamycin 300 mg capsules are expensive and non-formulary, and Black in the Black Country IMOC formulary. Please prescribe as 2 x 150 mg.

Clindamycin suspension 75mg/5ml for children with penicillin allergy

Dermatology, Endocrinology and Gynaecology

Dispersible tablets are allowed as amouthwash in PV. This indication is AR in the Black Country IMOG formulary, i.e. may be prescribed in primary care after a specialist recommendation.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

See this link for MHRA safety advice.

The IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

The oral suspension is AI, i.e. can be prescribed in primary care after specialist initiation.

This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation.

For rosacea Mirvaso gel is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

Not regularly stocked in the Trust. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

This is AI in the Black Country IMOG formulary, i.e. it may be prescribed in primary care after specialist initiation.

This is Red in the Black Country IMOG formulary for anogenital warts and superficial basal cell carcinoma, i.e. for hospital prescribing only and AR for actinic keratosis, i.e. may be prescribed in primary care after specialist recommendation.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Any other use is non-formulary and the non-formulary request process should be followed. 

Severe atopic dermatitis

Prescribe Beconase and Nasobec by brand. Check individual products for formulary status.

Diprosone is AR in the Black Country IMOG formulary, i.e. it may be prescribed in primary care after a specialist recommendation.

This is commissioned by ICBs for indications covered by NICE TAs and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

For endocrine uses calcitriol is second-line after alfacalcidol.

This is AI in the Black Country IMOC formulary, i.e. may be prescribed in primary care after specialist initiation.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only

Coal tar in Lassar's paste, coal tar in Unguentum M are non-formulary

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commissioned by NHSE for for treating severe asthma with type 2 inflammation in adults or adolescents aged 12 years and older, or severe atopic dermatitis in patients aged 6 years or older and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

All other indications are ICB commissioned and a Blueteq form is required before prescribing, if available.

Dermatology - Dr D Thompson's patients with hypersensitivities

Opthalmology - This is commissioned by NHSE for the treatment of recurrent non-infectious uveitis in post-pubescent children and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required. This is Red in the Black Country formulary.

All other ophthalmological indications are ICB commissioned and a Blueteq form should be completed where available.

Check individual products for formulary status.

The Flixonase nasal drops and Flixotide nebuliser liquid are AI in the Black Country IMOC formulary, i.e. can be prescribed in primary care after specialist initiation

Hydrocortisone in inflammatory bowel disease is AR in the Black Country formulary.

Hydrocortisone should be prescribed generically.

For second-line use in patients who meet the NICE criteria.

This is ICB commissioned and a Blueteq form is required before prescribing, if available. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is commissioned by NHSE for severe hidradenitis suppurativa in adults and a Blueteq form must be completed before prescribing

All other indications - psoriatic arthritis, psoriasis, and non-radiographic axial spondylarthritis are commissioned by the ICBs and require the appropriate Blueteq form, if available. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red for specialist use only in the Black Country IMOC formulary, i.e. for hospital prescribing only.

See this safety information from the MHRA.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Moderate to severe atopic dermatitis

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Active psoriatic arthritis after inadequate response to DMARDs

Moderate to severe atopic dermatitis 

Other indications are commissioned by ICBs so please check if a Blueteq form is available before prescribing

Upadactinib is also allowed for the treatment of active ankylosing spondylitis for patients who qualify for the manufacturer's free-of-charge scheme pending a positive NICE TA.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Moderately to severely active Crohn's disease in children

Moderately to severely active ulcerative colitis in children

Plaque psoriasis in children aged 6-11 years old

Plaque psoriasis in children aged 12-17 years old 

Other indications in adults are commissioned by the ICBs so please check if there is a Blueteq form before prescribing

For perioperative sedation only this is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

Suitable for self-care/purchase, if appropriate, for short term use for insomnia, urticaria, allergies, and travel sickness.

The eye drops are Red in the Black Country formulary, i.e. for hospital prescribinf only.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only

Hydrogen peroxide cream 1.5% restricted to Dermatology. The 6% solution is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

This is AI in the Black Country IMOG formulary, i.e. it may be prescribed in primary care after specialist initiation.

Note the risk assessment

For perioperative sedation only this is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

Check indiviudal products for formulary status.

Consultant dermatologists - 3rd-line use only

This is ICB commissioned and a Blueteq form is required before prescribing, if available. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Treatment of Rosacea and fungating wounds
for Rosacea use Acea gel 0.75% 40g

Oral use and gel are Green in the Black Country IMOC formulary and the IV form and suppositiries are Red

This is AR in the Black Country IMOG formulary, i.e. it may be prescribed in primary care after specialist recommendation.

Dermatological infection where topical treatment has failed. The liquid formulations are very expensive and should not be prescribed on an FP10.

The cream is AI in the Black Country IMOC formulary, i.e. can be prescribed in primary care after specialist initiation.

This oral form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only and for specialist use. 

Not regularly stocked in the Trust. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

Thie IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.